Bilateral emphysematous pyelonephritis resolving to medical therapy: demonstration by US and CT

Eur Radiol. 1997;7(6):844-6. doi: 10.1007/s003300050216.


Emphysematous pyelonephritis (EPN) is an uncommon and life-threatening necrotizing infection of the renal parenchyma occurring mostly in diabetic patients. It is usually unilateral. Nephrectomy is the current therapeutic procedure. We report the plain radiograph, US and CT findings in a 26-year-old diabetic woman who presented with bilateral EPN and was cured by medical treatment alone.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Emphysema / diagnostic imaging*
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnostic imaging*
  • Pregnancy in Diabetics*
  • Pyelonephritis / diagnostic imaging*
  • Tomography, X-Ray Computed
  • Ultrasonography